Individual
MRS. LONDON C LELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
22 BRAMHALL ST, DEPT OF SURGERY, PORTLAND, ME 04102
(207) 662-2934
Mailing address
22 BRAMHALL ST, DEPT OF SURGERY, PORTLAND, ME 04102
(207) 662-2934
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R049559
ME
Other
Enumeration date
11/05/2008
Last updated
03/21/2014
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